Active NPI
Sandria Joan Foster, APRN
- Gerontology Nurse Practitioner
- Ocoee, FL
National Provider Identifier
1871863597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 11001462
- Practice address
- 3343 Atmore Ter
Ocoee, FL 34761-4442 - Phone
- (407) 205-5510
- Fax
- (407) 703-4451
- NPI assigned
- Jan 11, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 11001462 | FL | Primary |
| Registered Nurse | 163W00000X | 1136932 | FL | |
| Gerontology Registered Nurse | 163WG0600X | 1136932 | FL |
Addresses
Primary practice location
3343 Atmore Ter
Ocoee, FL 34761-4442
Mailing address
1746 E Silver Star Rd
Suite 243
Ocoee, FL 34761-7014
Phone (407) 802-6766
Other practice location 1
1746 E Silver Star Rd
Suite 243
Ocoee, FL 34761-7014
Phone (407) 802-6766
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 692190696 96 | Medicaid | FL | |
| 692190696 98 | Medicaid | FL |
Other names 1
- Miss Sandria Joan Baker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1136932 | FL | MD | Gerontology Registered Nurse |
| 11001462 | FL | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624665600000",
"number": "1871863597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1746 E SILVER STAR RD",
"address_2": "SUITE 243",
"city": "OCOEE",
"state": "FL",
"postal_code": "347617014",
"telephone_number": "407-802-6766",
"fax_number": "407-362-1761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3343 ATMORE TER",
"city": "OCOEE",
"state": "FL",
"postal_code": "347614442",
"telephone_number": "407-205-5510",
"fax_number": "407-703-4451"
}
],
"practiceLocations": [
{
"address_1": "1746 E Silver Star Rd",
"address_2": "Suite 243",
"address_purpose": "LOCATION",
"city": "Ocoee",
"state": "FL",
"postal_code": "347617014",
"country_code": "US",
"telephone_number": "407-802-6766",
"fax_number": "407-362-1761",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOSTER",
"first_name": "SANDRIA",
"middle_name": "JOAN",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-11",
"last_updated": "2021-06-26",
"certification_date": "2021-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "11001462",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "1136932",
"primary": false
},
{
"code": "163WG0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gerontology",
"state": "FL",
"license": "1136932",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "692190696 96",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "692190696 98",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SANDRIA",
"last_name": "BAKER",
"middle_name": "JOAN",
"prefix": "MISS",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.